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Doctors Medical Center Model Direct Hospital Contract and Pay for Quality Improvement (PQI) Initiative

The residents of Modesto have had limited access to quality hospital care at reasonable cost. To help remedy this problem, CHCC members and member-eligible purchasers with plan beneficiaries in the Modesto area may take advantage of CHCC’s Pay for Quality Improvement (PQI) program and Direct Hospital Contract (Model Agreement) with Doctors Medical Center (DMC) in Modesto, California.

Our agreement with DMC focuses on:

  1. Quality improvement: achieving tangible improvements in the quality of health care services provided to Modest area residents;

  2. Performance transparency: assuring transparency in quality reporting and improvement and in the financial transactions between our members and DMC;

  3. Improved Rates: obtaining the best commercial rates available.

The PQI program uniquely links payment for hospital services to specific and measurable improvements in actual patient outcomes. CHCC meets quarterly with DMC to review its performance, including reductions in mortality rates and hospital-acquired infections and compliance with treatment protocols of proven clinical benefit.

CHCC member organizations and eligible non-members with plan beneficiaries in Modesto may obtain an evaluation copy of the PQI program and Model Agreement, upon signing and returning a Mutual Non-disclosure Agreement. Claims may also be re-priced as part of this evaluation.

For more information, please contact Sally Covington at 415-567-4262 or John Glynn at 1-888-236-1138.

CHCC Non-disclosure agreement

 

 

1300 Clay Street, Ste 600
Oakland, CA 94612
Phone 510-893-8600
Fax 510-893-8601

 
 

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